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1053486845
ELLEN DAHL
FORT WORTH, TX
NPI
1053486845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX K8104)
Enumeration Date
2006-11-21
Last Update Date
2015-03-19
Business Address
Dr. ELLEN DAHL
1661 EASTCHASE PKWY
FORT WORTH, TX 76120-4407
Phone number: 817-459-2005
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Mailing Address
Dr. ELLEN DAHL
PO BOX 9101
COPPELL, TX 75019-9494
Phone number: 972-745-7500
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